Concomitant posterior hip dislocation, ipsilateral intertrochanteric- and proximal tibial- fractures with popliteal artery injury: a challenging trauma mélange

  • Pranit N. Chotai Department of Orthopedic Surgery, University of Toledo Medical Center, Toledo, OH, United States.
  • Nabil A. Ebraheim | nabil.ebraheim@utoledo.edu Department of Orthopedic Surgery, University of Toledo Medical Center, Toledo, OH, United States.
  • Ryan Hart Department of Orthopedic Surgery, University of Toledo Medical Center, Toledo, OH, United States.
  • Andrew Wassef Department of Orthopedic Surgery, University of Toledo Medical Center, Toledo, OH, United States.

Abstract

Constellation of ipsilateral posterior hip dislocation, intertrochanteric- and proximal tibial fracture with popliteal artery injury is rare. Management of this presentation is challenging. A motor vehicle accident victim presented with these injuries, but without any initial signs of vascular compromise. Popliteal artery injury was diagnosed intra-operatively and repaired. This was followed by external fixation of tibial fracture, open reduction of dislocated hip and internal fixation of intertrochanteric fracture. Patient regained bilateral complete weight bearing and returned to pre-accident activity level. Apt surgical management including early repair of vascular injury in such a trauma mélange allows for a positive postoperative outcome.

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Published
2015-12-30
Section
Case Reports
Keywords:
Posterior hip dislocation, intertrochanteric fracture, popliteal artery injury.
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How to Cite
Chotai, P. N., Ebraheim, N. A., Hart, R., & Wassef, A. (2015). Concomitant posterior hip dislocation, ipsilateral intertrochanteric- and proximal tibial- fractures with popliteal artery injury: a challenging trauma mélange. Clinics and Practice, 5(4). https://doi.org/10.4081/cp.2015.776